JAMES WILLIAM KELLERSHABROKH DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

NOT RENEWED

Business

Title

First Name

JAMES

Middle

WILLIAM

Last Name

KELLERSHABROKH

Business Name

JAMES WILLIAM KELLERSHABROKH DO

Original Issue Date

01/29/2013

Effective Date

04/17/2014

Expiration Date

07/31/2017

City

ELMHURST

State

Zip

60126

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017